Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $6,456.54	Facility		$691.83	$1,479.11	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,677.35	Facility		$2,398.83	$2,818.38	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $4,677.35	Facility		$707.95	$1,096.48	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $7,762.47	Facility		$707.95	$1,258.93	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $3,162.28	Professional		$1,258.93	$2,187.76	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $19,498.45 / $28,840.32	Facility		$10,232.93	$19,498.45	$28,840.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,413.10 / $9,120.11	Facility		$5,128.61	$7,413.10	$9,120.11